Inspection Reports for
Country Inn of Downey

No deficiencies were observed during the visit. The facility met requirements for infection control, operational standards, physical plant safety, staffing, resident records, residents' rights, planned activities, food service, medical and dental care, disaster preparedness, and care for residents with special health needs.

The complaint involved two allegations: 1) lack of supervision leading to a resident assault, and 2) staff failing to ensure hazards were inaccessible. After interviews and observations, the allegations were determined to be unsubstantiated due to insufficient evidence.

The investigation found no corroborating evidence to substantiate the allegations. Interviews with residents and staff, as well as facility observations, indicated that supervision and chemical storage policies were followed, and no incidents or hazards were confirmed.

The complaint alleged that Resident #1 was being evicted without a written eviction notice. The investigation included interviews with the resident, staff, and other residents, and review of house rules and resident files. The allegation was determined to be unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegation of unlawful eviction against Resident #1. Interviews with staff and residents, and review of the resident's file and house rules, did not support the claim.

The complaint investigation was unsubstantiated. Allegations included uncomfortable room temperature and electrical problems causing power outages. Interviews and observations did not support the allegations.

The investigation found that room temperatures were within a comfortable range and portable heaters were provided as needed. Electrical outlets were operable despite multiple devices plugged in, and circuit breakers were reset when necessary. Interviews with staff and residents largely denied the allegations. The allegations were unsubstantiated due to insufficient evidence.

The complaint alleged that staff did not ensure residents' rooms were maintained, with a broken window and floor tile unrepaired for over 18 months. Interviews and observations found repairs are reported and addressed promptly, and no disrepair was observed. The allegation was unsubstantiated.

The Licensing Program Analyst toured the facility and interviewed staff and residents. No health or safety concerns were observed, and repairs were reported to be handled promptly. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff refused to provide medication assistance to a resident. Interviews and record reviews showed residents receive medications as prescribed, and Resident 1 manages their own medications with occasional assistance. The allegation was unsubstantiated.

The investigation found that facility staff assist residents with medications as prescribed and did not refuse assistance. Resident 1 was responsible for their own medications and had their own primary doctor. The allegation was unsubstantiated due to insufficient evidence.

The complaint was unsubstantiated after investigation. Allegations included residents smoking in non-smoking areas and inadequate facility cleanliness. Interviews and observations did not support these claims.

The investigation found no sufficient evidence to substantiate the allegations. Observations and interviews with staff and residents indicated that smoking rules were generally followed and the facility was maintained clean.

No deficiencies were observed during the visit. The fire was extinguished promptly, the affected resident was relocated, and smoking rules were re-explained to the resident.

The complaint alleged that resident R1 had a bruise near their eye caused by resident R2 hitting them due to lack of supervision. Interviews and observations found no bruises on R1, only faint redness likely caused by dry skin or other factors. Staff and family members denied witnessing any assault. The allegation was unsubstantiated due to lack of evidence.

The investigation included interviews with staff, residents, and family members, as well as observations and review of facility records. There was insufficient evidence to substantiate the allegation of physical assault between residents, and the allegation was determined to be unsubstantiated.

The complaint alleged that staff did not maintain a comfortable temperature inside the facility despite outside temperatures of 90 degrees F. The investigation found no evidence to support the allegation, with residents confirming comfort and staff following protocols for air conditioning concerns. The allegation was unsubstantiated.

The investigation included interviews with staff and residents, temperature measurements in resident rooms and common areas, and observations of heating and cooling equipment. The allegation was found to be unsubstantiated as most residents and staff denied the claim, and temperature readings were within regulatory limits.

The complaint alleged inadequate food service, specifically that only dinner was provided and residents had to purchase other meals. The investigation found no evidence to substantiate the allegation; it was determined unsubstantiated.

The investigation found that the facility provides residents with adequate meals of good quality three times a day, including snacks between meals. Interviews with residents and staff, as well as observations of the kitchen, dining area, and menu, supported that adequate food service was provided. The allegations were unsubstantiated due to lack of evidence.

The complaint alleged inadequate supervision leading to a resident's mandibular fracture. The investigation included review of surveillance footage, interviews with staff, the resident, and a witness, and file reviews. The allegation was determined to be unsubstantiated.

The investigation found that the resident accidentally fell from their wheelchair without staff negligence. Surveillance footage and interviews showed staff responded immediately and the resident is capable of self-care. The allegation was unsubstantiated due to insufficient evidence.

The complaint alleged that residents' room temperatures were maintained at an uncomfortable 85 degrees Fahrenheit. After touring the facility, interviewing staff and residents, and observing thermostats and room conditions, the allegation was unsubstantiated.

The investigation found that room temperatures were within a comfortable range between 68-85 degrees Fahrenheit, with observed temperatures between 77-79 degrees and residents and staff denying the allegation. The complaint was determined to be unsubstantiated due to insufficient evidence.

The facility was found to be in full compliance with no deficiencies observed. The facility has sufficient staffing, proper infection control, adequate physical plant safety, and appropriate resident care and documentation.

The complaint involved allegations that staff rummaged through a resident's personal belongings and stole money, and that staff confiscated a resident's nonprescription PRN medication without cause. After investigation, the allegations were found unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, review of resident files, house rules, and admission agreements did not support the claims of theft or improper medication confiscation. Therefore, the allegations were unsubstantiated.

The complaint alleged that the licensee/administrator allowed police to install spy cameras and a two-way mirror in a resident's bedroom and bathroom. The allegation was unsubstantiated after interviews and room inspection found no evidence of spyware.

The investigation found no evidence to support the allegation that police-installed spy cameras or a two-way mirror were present in a resident's room. Interviews with staff and residents largely denied the allegation, and the complaint was determined to be unsubstantiated.

The complaint alleged staff spying on residents and disrespectful noise at night. Interviews with 5 staff and 7 residents found no supporting evidence. The allegations were unsubstantiated.

The investigation included interviews with staff and residents. Most staff and residents denied the allegations. There was insufficient evidence to substantiate the complaints, and the allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff mismanaging resident's medication, not ensuring the resident was seen by a physician, and not preventing resident falls. Interviews with staff, residents, and the facility doctor, along with record reviews, did not support the allegations.

The investigation found no sufficient evidence to substantiate the allegations. Medication administration, physician visits, and fall prevention practices were reviewed and found to be appropriately managed according to staff, residents, and medical records.

The complaint alleged that staff were not giving residents privacy and intentionally listened in on personal phone calls. Interviews with 5 staff and 9 residents showed no evidence to support the allegation. The complaint was determined to be unsubstantiated.

The investigation found insufficient evidence to substantiate the allegation that staff denied residents privacy or listened in on personal phone calls. Interviews with staff and residents largely denied the allegation, resulting in an unsubstantiated finding.

The complaint alleged that air conditioners were not working properly, causing excessive heat in resident rooms and common areas. After interviews with 8 residents and 4 staff, and inspection of 7 resident rooms and common areas, the allegation was found unsubstantiated.

The investigation found that all resident rooms and common areas had temperatures within the required regulation range of 68-85 degrees. Most residents and staff denied the allegation, stating the air conditioners were operable and accommodations such as fans and cold water were provided during a recent heat wave. The allegation was unsubstantiated due to lack of sufficient evidence.

The complaint included allegations that staff disguised non-prescribed medications in residents' food, did not dispense medications as prescribed, spoke inappropriately to residents, and failed to keep the facility free of pests. After review of medication records, interviews with staff and residents, and facility inspection, all allegations were unsubstantiated due to lack of evidence.

The investigation found no sufficient evidence to substantiate the allegations. Medication was administered as prescribed, staff did not yell at residents, and no pest issues were observed during the inspection and interviews.

The complaint investigation was unannounced and addressed four allegations: untimely diapering care, hot water unavailability, uncomfortable room temperatures, and elevator malfunction. After interviews with staff and residents, facility tours, and review of service records, the allegations were determined to be unsubstantiated due to lack of corroborating evidence.

The investigation found no sufficient evidence to substantiate the allegations. Staff and residents denied the claims, and documentation and observations supported that care needs, hot water, room temperature, and elevator service were adequately maintained.

The facility was inspected for infection control, operational requirements, physical plant safety, and staffing. Infection control practices and emergency plans were in place, but the Infection Control Plan had not been added to the Plan of Operation. The physical plant and safety features were compliant, and staff training records were current. The annual inspection was not completed due to time constraints and will be continued.

The complaint investigation was unsubstantiated. Allegations included failure to provide admission paperwork copies, denial of motorized wheelchair use, lack of hot water, pest infestations, thermostat malfunctions, and electrical outlet issues. Interviews and inspections did not support these claims.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied the claims, and facility inspections showed compliance with required standards for admission paperwork, wheelchair use and charging, hot water availability, pest control, thermostat functionality, and electrical outlets.

The complaint investigation was unsubstantiated. Allegations included failure to meet hygiene needs, failure to safeguard personal belongings, leaving residents in wet clothes, and lack of COVID-19 precautions. Interviews with staff and residents, and review of records, did not support the allegations.

The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents largely denied the claims, and documentation such as incontinent logs and COVID-19 protocols were reviewed. The allegations were determined to be unsubstantiated.

The complaint alleged that the facility did not safeguard a resident's personal property by failing to return a wheelchair and that the administrator did not accord dignity in personal relationships by ignoring the resident and threatening to call the police. The investigation was unsubstantiated due to lack of evidence.

The investigation found no evidence to substantiate the allegations that the facility failed to safeguard a resident's personal property or that the administrator acted inappropriately. Interviews with staff and residents did not corroborate the complaints, and no deficiencies were cited.

The allegation that staff do not respond promptly to residents' calls was unsubstantiated based on interviews, observations, and testing of the intercom system. Staff stated adequate staffing levels and timely assistance. Seven out of eight residents did not corroborate the allegation.

The investigation found insufficient evidence to substantiate the allegation. Staff and residents reported timely responses to calls for assistance, and observations confirmed prompt staff response to intercom calls.

The complaint alleged that staff yelled at a resident when emptying her urinary catheter bag and spoke inappropriately to a resident regarding a meal request. Interviews with staff and residents denied these allegations. Observations showed appropriate staff behavior. The allegations were unsubstantiated due to lack of evidence.

The investigation found insufficient evidence to substantiate the allegations after interviews with staff and residents, review of records, and observations. The allegations were determined to be unsubstantiated.

The complaint alleged that staff took inappropriate photos of a resident without consent and verbally forced the resident to comply. Interviews with six staff members and ten residents denied the allegation. The resident's file showed she was self-responsible and assisted by a home health nurse. The allegation was determined to be unsubstantiated due to lack of evidence.

The investigation found insufficient evidence to substantiate the allegation. Interviews with staff and residents, as well as file reviews, indicated no forced or non-consensual photography occurred.

The complaint investigation was unsubstantiated based on interviews with residents and staff, review of records, and facility observations. Allegations included staff not allowing visitors, water issues, and communication problems, none of which were supported by evidence.

The investigation found no evidence to substantiate the allegations. Residents were allowed visitors, facility water was not in disrepair, and staff were able to effectively communicate with residents.

The complaint alleged staff were rude to residents and provided inadequate food service. Interviews and observations did not corroborate these allegations, resulting in an unsubstantiated finding.

The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, review of records, and observations indicated that staff treated residents with respect and food service met required standards, though some residents expressed minor dissatisfaction with food variety and quality.

The complaint investigation was unsubstantiated. Allegations included failure to meet modified dietary needs and lack of access to personal belongings. Interviews and document reviews did not corroborate these allegations.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents confirmed that modified dietary needs were met and residents had access to their personal belongings with supervision when needed. The allegations were determined to be unsubstantiated.

The allegation that staff yelled at a resident was unsubstantiated due to lack of preponderance of evidence. Exit interview was held and a copy of the report was provided.

The investigation found insufficient evidence to substantiate the allegation. Staff and most residents denied the claim, with witnesses stating the resident was verbally aggressive and staff were respectful.

The visit was related to complaint control # 28-AS-20230515134232. No substantiation status was provided.

The report found that a cook/staff member (S1) was working at the facility without being properly cleared or associated with the facility. The staff was hired through an agency and cleared through a national background check, but the facility was advised to obtain a criminal background clearance and formally associate the staff member with the facility.

The complaint alleged that food was often served cold and lacked variety, with beef stew served repeatedly. Interviews with residents and staff yielded mixed statements. Observations and document reviews found food served as required and menus showed variety. The allegation was unsubstantiated due to insufficient evidence.

The investigation included interviews, observations of kitchen operations and dining service, and review of menus and food supplies. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited.

The complaint alleged the administrator threatened a resident by threatening eviction if they did not get their brief changed. The administrator and staff denied the allegation. Six residents denied the allegation, and one resident confirmed violations including forced eating, medical care, and denial of choice for brief changes. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found that 6 of 7 residents and 2 staff denied the allegation, while 1 resident confirmed violations of personal rights. Based on observations and interviews, there was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

The facility was found to be operating within its licensed capacity and conditions. No deficiencies were observed during the visit, and all safety, medication, and operational protocols were in compliance.

The complaint alleged that the facility was not providing a comfortable temperature and that staff were not responding promptly to resident calls. The investigation included interviews with staff and residents, observation of the thermostat and call system, and review of service reports. The allegations were found to be unsubstantiated.

The investigation found that the air conditioner was functioning and recently serviced, most residents reported comfort with the temperature, and the call button system was working with timely staff responses. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff mishandling resident's money. After interviews and record reviews, the allegation was determined to be unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegation. All residents who qualified for stimulus payments received their funds accordingly, and most residents interviewed had no concerns about staff mishandling money. No deficiencies were observed or cited during the visit.

The complaint was unsubstantiated after investigation. Allegations included an unwitnessed fall causing injury and improper supervision. Interviews and record reviews did not provide sufficient evidence to corroborate the allegations.

The investigation found that the resident did sustain an unwitnessed fall resulting in a humerus fracture, but there was no evidence that the facility was responsible or neglectful. Staff and residents denied the allegation of improper supervision, and there was insufficient evidence to substantiate the complaints.

The complaint investigation was unsubstantiated. Allegations included failure to provide meals, delayed response to call buttons, and refusal to assist with meals. Interviews and observations did not support these claims.

The investigation found sufficient food supplies and confirmed through interviews with residents and staff that meals and timely responses to call buttons were provided. Resident #1 did not require assistance with feeding. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility did not meet resident dietary needs, served poor quality food, and did not serve nutritious meals. The investigation included interviews with staff and residents, file reviews, and observations. The allegations were found to be unsubstantiated.

The investigation found that the facility met the dietary needs of residents, provided good quality food, and served nutritious meals. Interviews with staff and residents, file reviews, and observations supported these findings. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included unlawful eviction, failure to safeguard belongings, lack of privacy, false hospital transfer, and unsafe environment. The eviction was found lawful based on resident violations and documented incidents. Other allegations lacked sufficient evidence to be substantiated.

The investigation found the eviction of a former resident was lawful due to multiple violations. There was insufficient evidence to substantiate claims of failure to safeguard belongings, lack of privacy, false hospital transfer, and unsafe environment. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff not meeting residents' needs, staff disrespecting residents, and a resident being denied phone calls. Interviews with residents, staff, and the administrator did not support these claims. Resident #1 could not be interviewed as they no longer resided at the facility and their whereabouts were unknown.

The investigation found no sufficient evidence to support the allegations. Residents and staff interviews indicated that residents' needs were met, staff treated residents with dignity and respect, and residents were not denied phone calls. The complaint was unsubstantiated and no deficiencies were cited.